Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1386746311
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
26004 104TH AVE SE, SUITE 101
KENT, WA 980307677
4252514050
Source: CMS National Downloadable File, September 2026.